Provider Demographics
NPI:1427046234
Name:SCHAERER, CALVIN ROBERT JR (MD)
Entity type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:ROBERT
Last Name:SCHAERER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12767 HIGHWICK CIR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-8105
Mailing Address - Country:US
Mailing Address - Phone:865-271-7303
Mailing Address - Fax:865-458-9906
Practice Address - Street 1:616 WARD AVE
Practice Address - Street 2:
Practice Address - City:LOUDON
Practice Address - State:TN
Practice Address - Zip Code:37774-1323
Practice Address - Country:US
Practice Address - Phone:865-458-5666
Practice Address - Fax:865-458-9906
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2014-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000038637208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ003320Medicaid
TNQ003320Medicaid